| NPI | 1770250292 |
|---|---|
| Doing Business As | RISING STARS CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GREGORY L JOHNSON Member 907-479-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-08-24 |